Active NPI
Martha Cameron Young, MS, CCC-SLP
- Speech-Language Pathologist
- Juneau, AK
National Provider Identifier
1740492073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 37
- Practice address
- 213 Third Street
Juneau, AK 99801 - Phone
- (907) 586-8228
- Fax
- (907) 586-8226
- NPI assigned
- May 7, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 37 | AK | Primary |
Addresses
Primary practice location
213 Third Street
Juneau, AK 99801
Mailing address
213 Third Street
Juneau, AK 99801
Phone (907) 586-8228
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SP9559 | Medicaid | AK | |
| SP9559-1 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37 | AK | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1740492073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 THIRD STREET",
"city": "JUNEAU",
"state": "AK",
"postal_code": "99801",
"telephone_number": "907-586-8228",
"fax_number": "907-586-8226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "213 THIRD STREET",
"city": "JUNEAU",
"state": "AK",
"postal_code": "99801",
"telephone_number": "907-586-8228",
"fax_number": "907-586-8226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "MARTHA",
"middle_name": "CAMERON",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-07",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AK",
"license": "37",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SP9559",
"state": "AK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SP9559-1",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Juneau, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.